Charleston Cancer Center Pa, NPI 1043220627
Hematology & Oncology Physician in North Charleston, SC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1043220627 |
| NPI Entity Type | Organization |
| Provider Name |
Charleston Cancer Center Pa
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2910 Tricom St, North Charleston, SC, US |
| Provider Mailing Address | 2910 Tricom St, North Charleston, SC, US, 294069350 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | M.D. Douglas L. Michaelsen |
| Official Position | MANAGING PARTNER |
| Phone | 843-572-9211 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| License No. | 11628 |
| License State | SC |
| Description | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| 18607 | SC | No | |||
| 19684 | SC | No | |||
| 32155 | SC | No | |||
| 30018 | SC | No | |||
| PA2273 | SC | No |
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|---|---|---|---|
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OTR/L Sarah Bagley Individual |
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AGACNP Kaitlin O'sullivan Individual |
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D.O Mohamed Mohamed Kelli Individual |
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ARNP Pamela Suzanne Harmon Individual |
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Lawanna S Carson Individual |
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MS. BCBA, COBA Brittany Leigh Fyffe Individual |
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PHARMD Taylor Lynn Brown Individual |
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Katherine Elizabeth Leighton Individual |
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